Methanol intoxication is a global health problem resulting in
mortality and morbidity. In a patient diagnosed with methanol intoxication as a
result of consumption of illegally produced alcohol, ethanol was administered
as an alternative since fomepizole was not available. In addition,
haemodialysis was applied to the patient with clinically significant high anion
gap metabolic ascites, and the treatment was performed successfully and
rapidly. Essential aspect in the management of methanol intoxication is to
recognise the clinical signs and symptoms well and to make an early diagnosis
by accelerating the necessary investigations with a strong suspicion. At this
point, treatments to prevent metabolism of methanol to its metabolites should
be initiated rapidly. Intermittent or continuous haemodialysis is also an
effective treatment method in patients with critical or predicted
deterioration.
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